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犬钩端螺旋体病血清型特异性患病率及危险因素:90例病例(1997 - 2002年)

Serovar-specific prevalence and risk factors for leptospirosis among dogs: 90 cases (1997-2002).

作者信息

Ward Michael P, Guptill Lynn F, Prahl Annalisa, Wu Ching Ching

机构信息

Department of Veterinary Pathobiology, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-2027, USA.

出版信息

J Am Vet Med Assoc. 2004 Jun 15;224(12):1958-63. doi: 10.2460/javma.2004.224.1958.

Abstract

OBJECTIVE

To estimate serovar-specific prevalence of leptospirosis by use of veterinary teaching hospital and laboratory submission data; describe annual and seasonal patterns of leptospirosis; and identify risk factors for age, sex, and breed.

DESIGN

Retrospective study.

ANIMALS

90 dogs with leptospirosis.

PROCEDURES

Hospital records of dogs examined at Purdue University Veterinary Teaching Hospital with a diagnosis of leptospirosis and laboratory records of dogs from which sera were tested for antibodies against Leptospira spp at Purdue University Animal Disease Diagnostic Laboratory from 1997 through 2002 were reviewed. The likely infecting Leptospira serovar was identified. Seasonal and annual prevalences were calculated by use of hospital population at risk (hospital cases) or serologic testing submissions (diagnostic laboratory cases). Age-, sex-, and breed-specific risk factors for hospital cases were estimated by odds ratios.

RESULTS

Of the 39 hospitalized dogs identified, 34 had been serologically tested, and 22 of those were infected with Leptospira kirschneri serovar grippotyphosa. Of the 51 diagnostic laboratory cases, 59% had a reciprocal titer > or = 800 against serovar grippotyphosa. Diagnostic laboratory cases were more common in summer, whereas hospital cases of leptospirosis were more common in fall. Male dogs were at significantly greater risk of leptospirosis than female dogs; and dogs 4 to 6.9 years old were at significantly greater risk than dogs < 1 year old.

CONCLUSIONS AND CLINICAL RELEVANCE

L kirschneri serovar grippotyphosa infection was associated with most cases of leptospirosis in dogs. Use of an effective vaccine that includes this serovar is advisable for dogs at risk of leptospirosis.

摘要

目的

利用兽医教学医院和实验室提交的数据估算钩端螺旋体病血清型特异性患病率;描述钩端螺旋体病的年度和季节性发病模式;并确定年龄、性别和品种的风险因素。

设计

回顾性研究。

动物

90只患有钩端螺旋体病的犬。

方法

回顾了1997年至2002年在普渡大学兽医教学医院接受检查并诊断为钩端螺旋体病的犬的医院记录,以及在普渡大学动物疾病诊断实验室检测血清中抗钩端螺旋体属抗体的犬的实验室记录。确定可能感染的钩端螺旋体血清型。通过使用有患病风险的医院犬只数量(医院病例)或血清学检测提交数量(诊断实验室病例)计算季节性和年度患病率。通过比值比估算医院病例中年龄、性别和品种特异性的风险因素。

结果

在确定的39只住院犬中,34只进行了血清学检测,其中22只感染了波摩那钩端螺旋体血清型秋季热。在51例诊断实验室病例中,59%对秋季热血清型的效价≥800。诊断实验室病例在夏季更为常见,而钩端螺旋体病的医院病例在秋季更为常见。雄性犬感染钩端螺旋体病的风险显著高于雌性犬;4至6.9岁的犬感染风险显著高于1岁以下的犬。

结论及临床意义

波摩那钩端螺旋体血清型秋季热感染与犬钩端螺旋体病的大多数病例相关。对于有感染钩端螺旋体病风险的犬,建议使用包含该血清型的有效疫苗。

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